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目的:探讨巨大儿的产前预测及对母婴结局的影响,为巨大儿分娩提供保障。方法:分析2010年5月~2012年5月期间接收的120例巨大儿,对巨大儿产前进行预测,对诊断、分娩过程进行分析,保障母婴双方的安全。结果:巨大儿发生率为11.3%,对巨大儿进行剖腹产92例(76.7%),自然分娩18例(15%),胎吸助产10例(8.3%),新生儿窒息6例(5%),产妇产后出血过大9例(7.5%),而且母婴出现并发症的几率较高。结论:对巨大儿的产前进行预测能够有效促进婴儿的顺利分娩,保障母婴双方的生命安全,及时采取适当的措施还能够有效降低母婴出现并发症的几率。
Objective: To investigate the prenatal prediction of macrosomia and its effect on maternal and infant outcomes, so as to provide guarantee for macrosomia. Methods: From May 2010 to May 2012, 120 cases of giant children were analyzed to predict the prenatal diagnosis of giant children. The diagnosis and delivery process were analyzed to ensure the safety of both mother and child. Results: The incidence of macrosomia was 11.3%. 92 cases (76.7%) had caesarean section, 18 cases of natural childbirth (15%), 10 cases of fetal abortion (8.3%) and 6 cases of neonatal asphyxia (5% ), Maternal postpartum hemorrhage was too large in 9 cases (7.5%), and maternal and child complications higher. Conclusion: Predictors of macrosomia prenatal care can effectively promote the smooth delivery of babies and ensure the safety of both mother and child. Proper and timely measures can also reduce the chances of complications of mother-infant.